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Early warning scores

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https://www.readbyqxmd.com/read/29651595/heart-rate-variability-for-rapid-risk-stratification-of-emergency-patients-with-malignant-disease
#1
K Boehm, M Duckheim, L Mizera, P Groga-Bada, N Malek, F Kreth, M Gawaz, C S Zuern, C Eick
INTRODUCTION: Neoplasms are the second most common diseases in western countries. Many patients with malignant diseases repeatedly present themselves in the emergency department (ED). Due to limited capacities, appropriate risk stratification strategies for cancer patients have to be developed. This study assesses if deceleration capacity (DC) of heart rate as a parameter of heart rate variability predicts mortality in emergency patients with malignant diseases. METHODS: Prospectively, 140 adults with different entities of malignant diseases who presented in the medical ED were included...
April 12, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29626015/the-prediction-of-in-hospital-mortality-by-mid-upper-arm-circumference-a-prospective-observational-study-of-the-association-between-mid-upper-arm-circumference-and-the-outcome-of-acutely-ill-medical-patients-admitted-to-a-resource-poor-hospital-in-sub-saharan
#2
Martin Otyek Opio, Teopista Namujwiga, Imaculate Nakitende, John Kellett, Mikkel Brabrand
There are few reports of the association of nutritional status with in-hospital mortality of acutely ill medical patients in sub-Saharan Africa. This is a prospective observational study comparing the predictive value of mid-upper arm circumference (MUAC) of 899 acutely ill medical patients admitted to a resource-poor sub-Saharan hospital with mental alertness, mobility and vital signs. Mid-upper arm circumference ranged from 15 cm to 42 cm, and 12 (24%) of the 50 patients with a MUAC less than 20 cm died (OR 4...
March 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29625600/implementing-paediatric-early-warning-scores-systems-in-the-netherlands-future-implications
#3
J F de Groot, N Damen, E de Loos, L van de Steeg, L Koopmans, P Rosias, M Bruijn, J Goorhuis, C Wagner
BACKGROUND: Paediatric Early Warning Scores (PEWS) are increasingly being used for early identification and management of clinical deterioration in paediatric patients. A PEWS system includes scores, cut-off points and appropriate early intervention. In 2011, The Dutch Ministry of Health advised hospitals to implement a PEWS system in order to improve patient safety in paediatric wards. The objective of this study was to examine the results of implementation of PEWS systems and to gain insight into the attitudes of professionals towards using a PEWS system in Dutch non-university hospitals...
April 6, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29619427/determination-of-environmental-factors-affecting-dengue-incidence-in-sleman-district-yogyakarta-indonesia
#4
Tri Wulandari Kesetyaningsih, Sri Andarini, Sudarto, Henny Pramoedyo
Background: Dengue is a disease related to the environment that spreads rapidly. Prevention movement is considered ineffective; therefore, a more efficient early warning system is required. It is required strongly correlated variables to as predictor in early warning system. This study aims to identify the environmental conditions associated with dengue. Materials and methods: This ecological study was conducted on five sub-districts selected based on the trend of the incidence...
2018: African Journal of Infectious Diseases
https://www.readbyqxmd.com/read/29617471/hypophosphatemic-rickets-case-report
#5
Marta Liliane de Almeida Maia, Ana Lucia Santos Abreu, Paulo Cesar Koch Nogueira, Maria Luiza Dautro Moreira do Val, João Tomas de Abreu Carvalhaes, Maria Cristina de Andrade
OBJECTIVE: Early diagnosis and immediate treatment of hypophosphatemic rickets is of utmost importance as it may prevent subsequent sequelae. This report aims at warning pediatricians to consider the presence of the disease. CASE DESCRIPTION: Description of the metabolic profile, creatinine clearance, nutritional status, weight and body structure of a patient who presented the clinical-laboratorial characteristics of hypophosphatemic rickets and was followed in an outpatient clinic for tubulopathies over the period of 12 months...
March 29, 2018: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/29617403/automatic-early-warning-of-tail-biting-in-pigs-3d-cameras-can-detect-lowered-tail-posture-before-an-outbreak
#6
Richard B D'Eath, Mhairi Jack, Agnieszka Futro, Darren Talbot, Qiming Zhu, David Barclay, Emma M Baxter
Tail biting is a major welfare and economic problem for indoor pig producers worldwide. Low tail posture is an early warning sign which could reduce tail biting unpredictability. Taking a precision livestock farming approach, we used Time-of-flight 3D cameras, processing data with machine vision algorithms, to automate the measurement of pig tail posture. Validation of the 3D algorithm found an accuracy of 73.9% at detecting low vs. not low tails (Sensitivity 88.4%, Specificity 66.8%). Twenty-three groups of 29 pigs per group were reared with intact (not docked) tails under typical commercial conditions over 8 batches...
2018: PloS One
https://www.readbyqxmd.com/read/29589599/continuous-monitoring-of-respiratory-rate-on-general-wards-what-might-the-implications-be-for-clinical-practice
#7
C P Subbe, B Duller
A high respiratory rate is a significant predictor of deterioration. The accuracy of measurements has been questioned. We performed a prospective observational study of automated electronic respiratory rate measurements and compared measurements with electronic counts obtained in the 10 minutes prior to the manual measurement. For 182 patients 1331 matching measurements could be compared. The mean age of these patients was 68 (SD 14) years. 96 (53%) of patients were female. While mean and median measurements were similar frequency distributions were significantly different...
2018: Acute Medicine
https://www.readbyqxmd.com/read/29583161/-new-definition-of-and-diagnostic-criteria-for-sepsis-swedish-use-of-sepsis-3
#8
Magnus Brink, Jonas Cronqvist, Anneli Fagerberg, Pär Lindgren, Miklos Lipcsey, Mantas Okas, Lisa Kurland
A working group representing the Swedish Society for Infectious Diseases, the Swedish Society for Anaesthesiology and Intensive Care, the Swedish Society for Emergency Medicine, and the Swedish Intensive Care Registry have reached consensus on how to adopt the new sepsis definition, Sepsis-3, in Sweden. The recommendation is to implement the new definitions and diagnostic criteria for sepsis and septic shock, but not the use of the new screening tool for sepsis, quick-SOFA, as it needs prospective validation and since it is not clear if quick-SOFA is more useful than the currently used general triage and early warning score systems...
March 26, 2018: Läkartidningen
https://www.readbyqxmd.com/read/29578879/what-faces-reveal-a-novel-method-to-identify-patients-at-risk-of-deterioration-using-facial-expressions
#9
Maria Isabel Madrigal-Garcia, Marcos Rodrigues, Alex Shenfield, Mervyn Singer, Jeronimo Moreno-Cuesta
OBJECTIVES: To identify facial expressions occurring in patients at risk of deterioration in hospital wards. DESIGN: Prospective observational feasibility study. SETTING: General ward patients in a London Community Hospital, United Kingdom. PATIENTS: Thirty-four patients at risk of clinical deterioration. INTERVENTIONS: A 5-minute video (25 frames/s; 7,500 images) was recorded, encrypted, and subsequently analyzed for action units by a trained facial action coding system psychologist blinded to outcome...
March 23, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29541854/curb-65-score-is-equal-to-news-for-identifying-mortality-risk-of-pneumonia-patients-an-observational-study
#10
Mikkel Brabrand, Daniel Pilsgaard Henriksen
IMPORTANCE: The CURB-65 score is widely implemented as a prediction tool for identifying patients with community-acquired pneumonia (cap) at increased risk of 30-day mortality. However, since most ingredients of CURB-65 are used as general prediction tools, it is likely that other prediction tools, e.g. the British National Early Warning Score (NEWS), could be as good as CURB-65 at predicting the fate of CAP patients. OBJECTIVE: To determine whether NEWS is better than CURB-65 at predicting 30-day mortality of CAP patients...
March 14, 2018: Lung
https://www.readbyqxmd.com/read/29522831/in-hospital-cardiac-arrest-after-a-rapid-response-team-review-a-matched-case-control-study
#11
Joonas Tirkkonen, Heini Huhtala, Sanna Hoppu
AIM: Study the incidence and reasons behind in-hospital cardiac arrests (IHCAs) after rapid response team (RRT) reviews. METHODS: We conducted a matched case-control study at Tampere University Hospital, Finland. Data on adult patients who were triaged to remain on general ward after first (index) RRT review without treatment limitations but who suffered an IHCA within the following 48 hours were prospectively collected for 5.3 years. These cases were matched (age +/- 3 years, sex, surgical/medical ward, admission year) at a 1:4 ratio to controls (no ICHA after RRT review)...
March 6, 2018: Resuscitation
https://www.readbyqxmd.com/read/29521817/modification-and-assessment-of-the-bedside-pediatric-early-warning-score-in-the-pediatric-allogeneic-hematopoietic-cell-transplant-population
#12
Daniel T Cater, Alvaro J Tori, Elizabeth A S Moser, Courtney M Rowan
OBJECTIVES: To determine the validity of the Bedside Pediatric Early Warning Score system in the hematopoietic cell transplant population, and to determine if the addition of weight gain further strengthens the association with need for PICU admission. DESIGN: Retrospective cohort study of pediatric allogeneic hematopoietic cell transplant patients from 2009 to 2016. Daily Pediatric Early Warning Score and weights were collected during hospitalization. Logistic regression was used to identify associations between maximum Pediatric Early Warning Score or Pediatric Early Warning Score plus weight gain and the need for PICU intervention...
March 7, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29517318/updating-the-national-early-warning-score-algorithm-saving-more-lives
#13
Alan Glasper
Emeritus Professor Alan Glasper, University of Southampton, discusses the contribution of the Royal College of Physicians to effective monitoring of sick patients in hospital.
March 8, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29512139/should-impaired-mobility-on-presentation-be-a-vital-sign
#14
M Brabrand, J Kellett, M Opio, T Cooksley, C H Nickel
INTRODUCTION: Vital signs are routinely used to assess acutely ill patients, but they do not detect all patients at risk of death. This retrospective multicenter cohort study compares the prediction of death by impaired mobility with age, co-morbidities, and vital sign changes. METHODS: On first assessment, patients from a combined cohort of 9684 Danish and Irish patients and a separate cohort of 1010 Ugandan patients were stratified by impaired mobility on presentation (IMOP), vital sign changes assessed by the National Early Warning Score (NEWS), the Charlson Co-morbidity Index, and age...
March 6, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29511537/pre-hospital-national-early-warning-score-news-is-associated-with-in-hospital-mortality-and-critical-care-unit-admission-a-cohort-study
#15
Tom E F Abbott, Nicholas Cron, Nidhi Vaid, Dorothy Ip, Hew D T Torrance, Julian Emmanuel
Background: National Early Warning Score (NEWS) is increasingly used in UK hospitals. However, there is only limited evidence to support the use of pre-hospital early warning scores. We hypothesised that pre-hospital NEWS was associated with death or critical care escalation within the first 48 h of hospital stay. Methods: Planned secondary analysis of a prospective cohort study at a single UK teaching hospital. Consecutive medical ward admissions over a 20-day period were included in the study...
March 2018: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/29504419/-vaginal-mesh-operations-in-the-urogynecological-practice-after-the-fda-warnings-use-or-not-to-use-mesh
#16
Zoltán Fekete, Szilvia Körösi, Gábor Németh
INTRODUCTION: The prevalence of pelvic organ prolapse (POP) with aging is escalating alarmingly, and now becoming a growing epidemic among the elderly. Synthetic transvaginal mesh (TVM) has been employed with increasing popularity in the treatment of POP until the end of the last decade. After the U.S. Drug and Food Administration (FDA) warnings in the years 2008 and 2011, the number of vaginal mesh operations has decreased dramatically. AIM: The aim of the study was to evaluate and compare the anti-POP effectivity, the anti-stress incontinence (anti-SUI) efficacy, and the late (36 months) post-operative complications of the anterior vaginoplasty and the TVM operations...
March 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29500014/an-ensemble-boosting-model-for-predicting-transfer-to-the-pediatric-intensive-care-unit
#17
Jonathan Rubin, Cristhian Potes, Minnan Xu-Wilson, Junzi Dong, Asif Rahman, Hiep Nguyen, David Moromisato
BACKGROUND: Early deterioration indicators have the potential to alert hospital care staff in advance of adverse events, such as patients requiring an increased level of care, or the need for rapid response teams to be called. Our work focuses on the problem of predicting the transfer of pediatric patients from the general ward of a hospital to the pediatric intensive care unit. OBJECTIVES: The development of a data-driven pediatric early deterioration indicator for use by clinicians with the purpose of predicting encounters where transfer from the general ward to the PICU is likely...
April 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29498148/the-value-of-the-modified-early-warning-score-for-unplanned-intensive-care-unit-admissions-of-patients-treated-in-hospital-general-wards
#18
Michail Zografakis-Sfakianakis, Eelco De Bree, Manolis Linardakis, Argyri Messaritaki, Helen Askitopoulou, Alexandra Papaioannou, Panagiotis Aggouridakis
AIM: To determine the value of the Modified Early Warning Score (MEWS) for general ward patients and its potential use as an alarm tool for ward nurses. METHODS: A combined prospective-retrospective observational study was conducted with 153 patients in a university hospital (2013-2014). All patients were admitted to the intensive care unit (ICU) from general wards. Parameters retrospectively studied were 5 MEWS values at 4 hourly intervals, up to 20 hours before ICU admission...
March 1, 2018: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/29491711/prospective-interepisodal-mood-monitoring-in-patients-with-affective-disorders-a-feasibility-study
#19
Alberta Sj Van der Watt, Alexandra Psp Suryapranata, Soraya Seedat
Objectives: Our primary objective was to assess the feasibility of interepisodal telephonic mood monitoring in patients with affective disorders in a low-resource setting. Secondary objectives included gathering data on longitudinal mood trajectories and assessing patient acceptance of mood monitoring. Methods: Inpatients with a primary mood or anxiety disorder were recruited predischarge. Assessment at intake included demographic information, the Life Events Checklist, and the Childhood Trauma Questionnaire...
2018: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/29490402/return-to-sports-after-unicompartmental-knee-arthroplasty-reality-or-utopia-a-48-month-follow-up-prospective-study
#20
Mirco Lo Presti, Giuseppe Gianluca Costa, Sergio Cialdella, Giuseppe Agrò, Alberto Grassi, Silvio Caravelli, Massimiliano Mosca, Giulio Maria Marcheggiani Muccioli, Stefano Zaffagnini
Unicompartmental knee arthroplasty (UKA) has increased in popularity in the last years, also in younger and more active patients with great expectancies. The purpose of our study was to investigate the change in sports activities before and after medial UKA. We surveyed 53 athletic patients; all underwent cemented medial UKA, to determine not only their subjective and objective evaluation of clinical status with Hospital for Special Surgery (HSS) and visual analog score (VAS) score, but also their sporting and recreational activities at a mean follow-up of 48 ± 6 months (range, 18-56 months)...
February 28, 2018: Journal of Knee Surgery
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